Individual provider · NPI-1

Lisa Anne Campagnari, COTA/L

Occupational Therapy Assistant · Gilbert, AZ

NPI number1396238069
StatusActive
Last updated in NPPESJan 20, 2021

Details

NPI
1396238069
Entity type
Individual (NPI-1)
Name
Lisa Anne Campagnari
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2018
Certification date
Jan 20, 2021
Last updated
Jan 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA-006775AZYes

Practice location

2451 E Baseline Rd Ste 420
Gilbert, AZ 85234-2472

Phone 480-474-4173

Mailing address

9320 E Dallas St
Mesa, AZ 85207-6163

Phone 623-696-9464

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